Non-binding Request of Rental Vehicle

First name*: Last name*: Place of Residence: Country*: ------ USA Canada Great Britain Australia New Zealand Other contries Country name: E-Mail*: Phone*: Mobil phone:

Car Model*: Period of time from*: to*: Pick-up location*: Pick-up time: -- 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 Drop-off location*: Drop-off time: -- 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 Permit Argentina: Yes No Number of passengers: 1 2 3 4 5 6 7 8 9 10 11 Name driver 01*: Name driver 02:

Location Hotel 1: Desired Hotel: Date of arrival: Date of departure: Type of room: Location Hotel 2: Desired Hotel: Date of arrival: Date of departure: Type of room:

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